Job Description

Job Description

Job Description

Under the direct supervision of the COO, the Director of Compliance is responsible for overseeing an organization’s compliance with government laws and regulations. Their duties include coordinating with company management to identify potential risks, implementing policies and procedures to uphold laws and regulations and monitoring the company’s adherence to those policies and procedures.

Education/ Experience

• Bachelors required; Masters preferred. Healthcare administration preferred.
• 5+ years of relevant healthcare experience
• Multi-site healthcare experience required; multi-state preferred.
• Demonstrated working knowledge of Medicare and Medicaid, Insurance Managed Care including documentation, coding, reimbursement methodologies, as well as extensive familiarity with Department of Health and Human Services Office of Inspector General (OIG) and Centers for Medicare and Medicaid Services (CMS) rules, regulations, and compliance guidance.

Job Requirements

• Possess proficient knowledge of federal and state regulatory law including fraud and abuse laws, Stark, Anti-kickback, HIPAA Privacy and Security, Medicare/Medicaid Conditions of Participation, FDA, and OSHA regulations, etc.
• Strong computer software experience required. Proficient in Microsoft Office programs, specifically Excel and Word and is familiar with statistics and metric reporting.
• Excellent analytic and problem-solving skills to process auditing and monitoring reports, identify compliance risks and prioritize recommendations.
• Ability to work under pressure, delivers on deadlines, and demonstrates flexibility to change direction when required.
• Knowledge of or an understanding of how all operational areas affect one another and the organization.
• Understand the importance of maintaining the physical and technical security and privacy of protected health information (PHI).
• Adhere to company policies and procedures and all Federal, State, and local medical service requirements, including HIPPA Privacy & Security.
• Participate in / Drug Free Workplace / E-Verify participant/ EOE
• Demonstrate flexible and efficient time management
• Meet goals and objectives set forth in the key responsibilities
• Capable of adapting as business needs require
• Ability to accept feedback on work performance
• Demonstrates optimal time and attendance
• Follows organizational policies and procedures.
• Ability to accept feedback on work performance
• Ability to work independently without supervision

Key Responsibilities

• Develop and maintain internal company policies.
• Make sure the organization has a clearly defined program for complying with the federal and state laws.
• Constantly report to management concerning the organization’s compliance with laws and regulations.
• Act in dealing with noncompliance situations, creating realistic plans to overcome them.
• Conduct regular audits to identify potential weaknesses and noncompliance situations.
• Communicate with employees and make sure everyone is aware of what they need to do to comply with internal and external laws and regulations.

***Key responsibilities are examples, not all duties may be listed and subject to change based on business needs.

Physical Requirements

• Frequent mobility, standing and/or sitting for extended period
• Frequent bending and stooping required
• Requires occasional lifting to 50 lbs of boxes of paper
• Requires the frequent handling of materials
• Possible driving for an extended period in commute to other locations
• Occasional weight-bearing may exceed 50 lbs

***Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday
• Weekend availability

Company Description

Pediatric Doctor's office

Company Description

Pediatric Doctor's office

Job Tags

Full time, Work at office, Local area, Monday to Friday, Flexible hours, Shift work, Weekend work, Day shift,

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